中华现代护理杂志2024,Vol.30Issue(25) :3374-3381.DOI:10.3760/cma.j.cn115682-20240304-01100

脑卒中患者能力-机会-动机-行为潜剖面特征及影响因素研究

Study on the latent profile characteristics and influencing factors of capability-opportunity-motivation-behavior in stroke patients

郭丽娜 谢钰莹 张孟羽 周欣馨 赵鹏 魏苗 程晗 李清阳 杨彩侠 马珂珂 刘延锦 郭园丽
中华现代护理杂志2024,Vol.30Issue(25) :3374-3381.DOI:10.3760/cma.j.cn115682-20240304-01100

脑卒中患者能力-机会-动机-行为潜剖面特征及影响因素研究

Study on the latent profile characteristics and influencing factors of capability-opportunity-motivation-behavior in stroke patients

郭丽娜 1谢钰莹 2张孟羽 2周欣馨 2赵鹏 2魏苗 1程晗 2李清阳 2杨彩侠 1马珂珂 1刘延锦 3郭园丽1
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作者信息

  • 1. 郑州大学第一附属医院神经内科,国家高级卒中中心,郑州 450052
  • 2. 郑州大学护理与健康学院,郑州 450001
  • 3. 郑州大学第一附属医院护理部,郑州 450052
  • 折叠

摘要

目的 探讨脑卒中患者能力-机会-动机-行为的潜剖面类型并分析不同潜剖面的影响因素.方法 于2023年1-10月,采用分层随机抽样法选取河南省5所三级甲等医院神经内科收治的596例脑卒中患者为研究对象,采用一般情况调查表、脑卒中防治知识问卷、社会支持评定量表、WHO生活质量简表-环境分量表、脑卒中健康信念简表、健康促进生活方式量表Ⅱ对其进行调查.采用潜剖面分析对脑卒中患者能力-机会-动机-行为特征进行分类,采用多元Logistic回归分析探讨脑卒中患者能力-机会-动机-行为不同潜剖面的影响因素.结果 脑卒中患者能力-机会-动机-行为存在3种潜在类别,分别为能力-机会-动机-行为低下-健康信念较高组(32.4%,193/596)、能力-机会-动机-行为中等-健康信念不足组(47.5%,283/596)、能力-机会-动机-行为较高-社会支持缺乏组(20.1%,120/596).多元Logistic回归分析结果显示,文化程度、吸烟史、家族史、体重指数、查尔森合并症指数得分是脑卒中患者能力-机会-动机-行为不同潜剖面的影响因素(P<0.05).结论 脑卒中患者能力-机会-动机-行为有着明显的特征分类,应根据不同类别特点开展针对性干预,以提高患者健康行为管理效果.

Abstract

Objective To explore the latent profile types of capability-opportunity-motivation-behavior in stroke patients and analyze the influencing factors of different latent profiles.Methods From January to October 2023,totally 596 stroke patients from the Neurology Department of five Class Ⅲ Grade A hospitals in Henan Province were selected by stratified random sampling.The patients were surveyed using a general information questionnaire,the Stroke Prevention Knowledge Questionnaire(SPKQ),the Social Support Rating Scale(SSRS),the WHO's Quality of Life Questionnaire-Brief Version(WHOQOL-BREF),the Short Form Health Belief Model Scale(SF-HBMS),and the Health Promoting Lifestyle Profile Ⅱ(HPLP Ⅱ).Latent profile analysis was used to classify the capability-opportunity-motivation-behavior characteristics of stroke patients,and multiple logistic regression was conducted to explore the influencing factors of different latent profiles.Results Three latent profiles of capability-opportunity-motivation-behavior in stroke patients were identified,including low capability-opportunity-motivation-behavior with high health beliefs(32.4%,193/596),moderate capability-opportunity-motivation-behavior with insufficient health beliefs(47.5%,283/596),and high capability-opportunity-motivation-behavior with lack of social support(20.1%,120/596).Multiple logistic regression analysis showed that educational level,smoking history,family history,body mass index,and Charlson Comorbidity Index score were influencing factors of different latent profiles(P<0.05).Conclusions Stroke patients exhibit distinct classifications of capability-opportunity-motivation-behavior.Targeted interventions should be conducted based on the characteristics of each category to improve health behavior management outcomes in patients.

关键词

脑卒中/能力-机会-动机-行为/健康行为/潜剖面分析/影响因素

Key words

Stroke/Capability-opportunity-motivation-behavior/Health behavior/Latent profile analysis/Influencing factor

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基金项目

国家自然科学基金(72204225)

国家自然科学基金(72274179)

中国博士后科学基金(2023M733234)

河南省医学科技攻关项目(LHGJ20220429)

河南省医学科技攻关项目(SBGJ202102076)

河南省医学科技攻关项目(222102310246)

郑州大学第一附属医院护理科研基金(HLKY2023001)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
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